Optima Medical Rehabilitation P a.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

25MA05002200 Issued in NJ

Legal business name

OPTIMA MEDICAL REHABILITATION P A.

Practice address

1 Greenwood Ave
Suite 100
Montclair, NJ 07042-3649

Phone

(973) 746-2424

Fax

(973) 746-5030

NPI assigned

Oct 21, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ellen Soberman Novick, M.D.NPI 1134284953

Title

President

Phone

(908) 591-1359

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ellen Soberman Novick, MD

  • Physical Medicine & Rehabilitation Physician
  • Red Bank, NJ
  • NPI 1134284953
  Medicare reassignment Authorized official
• Richard B. Shoenfeld, MD

  • Vascular & Interventional Radiology Physician
  • West Orange, NJ
  • NPI 1033164553
  NPD (past)
• Brandon Robert Fiedler, D.C.

  • Chiropractor
  • Milton, PA
  • NPI 1467784892
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400025600000",
    "number": "1659709129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 ROUTE 35",
            "address_2": "SUITE 208",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015919",
            "telephone_number": "732-383-4173",
            "fax_number": "732-383-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GREENWOOD AVE",
            "address_2": "SUITE 100",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423649",
            "telephone_number": "973-746-2424",
            "fax_number": "973-746-5030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMA MEDICAL REHABILITATION P A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2014-05-14",
        "status": "A",
        "authorized_official_last_name": "NOVICK",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "SOBERMAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-591-1359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NJ",
            "license": "25MA05002200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• One-Self Health and Wellness, Inc.
• Bronwyn Ellen Oneil, M.S,L.C.S.W.
• Christine Marie Onorati, LCSW
• Rose Oosting, PHD
• Ophthalmology of Montclair Limited Liability Company
• Optimum Orthopedics Physical Therapy & Rehab Center II LLC
• Oral & Maxillofacial Associates of Montclair
• Floriza Ordona-Vega, PT CERT MDT
• Amy Origlieri, PHD
• Orthopaedic and Spine Surgeons of NJ LLC

• Physical Medicine & Rehabilitation Physician in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Physical Medicine & Rehabilitation Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.